Pharmacy Management System

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  1. Pharmacy Management System
  2. Process
  3. Care authorization
Process · Care authorization

Care authorization

Start with the assigned care request and its clinical evidence. The Care Coordinator attaches source references and files; the Authorized Clinical Reviewer records a decision against the current revision. A return gives the coordinator a reason to address before another review.

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Step by step

  1. Prepare care request Care Coordinator

    Care Coordinator works through care requests and team members. Assign the request and enter requested units. Confirm the source identity and related record before passing the case onward.

    • Assign the request and enter requested units
    • Updates Care requests, Team members

  2. Attach clinical evidence Care Coordinator

    Care Coordinator works through clinical evidence and record attachments. Link source evidence and visibility. Confirm the source identity and related record before passing the case onward.

    • Link source evidence and visibility
    • Updates Clinical evidence, Record attachments

  3. Review authorization Authorized Clinical Reviewer

    Authorized Clinical Reviewer works through review decisions and care requests. Decide against the source revision. Confirm the source identity and related record before passing the case onward.

    • Decide against the source revision
    • Updates Review decisions, Care requests
    ApprovalA person approves before the work moves on.

  4. Resolve return Care Coordinator

    Care Coordinator works through review decisions and clinical evidence. Address the reason and prepare a new review. Confirm the source identity and related record before passing the case onward.

    • Address the reason and prepare a new review
    • Updates Review decisions, Clinical evidence

Where it usually breaks

And how to keep it from happening.

  • Identity mismatch. The patient reference, prescription number, request or lot points to a different case. Resolve the source before moving ahead.
  • Changed revision. The request or review changed after a decision. Recheck the current revision and preserve the earlier decision.
  • Unclear quantity. The prescribed, authorized, dispensed and signed stock quantities differ. Compare the related records and investigate the difference.
  • Unexplained exception. A failed or review-needed operation receipt needs an owner and a recorded resolution before retrying the action.

Who does what

Roles and permissions
Care Coordinator
Prepares the operating records; Authorized Clinical Reviewer records independent decisions; Auditor inspects the evidence; App Administrator maintains the organization setup.
Pharmacist
Makes the professional decision recorded on a dispense review.

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Start free, then use Proto to change fields, steps and approvals before your team goes live.

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